NSG. PROCESS
Assessing patients risk for fall requires this tool
What is Morse Fall Risk Scale
The first step in performing a dressing change
What is checking the doctors order
Taking a patient's vital signs include
What is temperature, blood pressure, respirations. pulse and pain assessment
A nurse can do this without an order
What is applying oxygen at 2 L NC
Reason nurses document
What is for communication
An approach to planning and organizing care
What is concept mapping
A way to organize to critical thinking skills
What is the nursing process
The correct way to document wound measurement
What is LXWXD
Completed when a patient does not know baseline BP
What is the two step method
Used for airborne precautions
What is an N95 mask
Information that is included in nursing record
What is assessment, planning, implementation and evaluation of care
Includes subjective and objective data
What is defining characteristics
Setting short and long-term goals?
What is Planning
Assessment acronym for wounds
What is REEDA
Your first action if you note that your patient's temperature is 101.2 degrees
What is double-check your vital signs to make certain there is a valid problem
Used when patients have low levels of blood oxygen
What is a non rebreather mask
Correct way to sign nurses note
What is first name last initial and title
Does not have subjective or objective data
What are risk factor diagnosis
The acronym OPQRSTU is used to determine
What is pain assessment
Non-blanchable deep red maroon skin discoloration
What is deep tissue pressure injury
The way to count a patient's respiration
What is while checking their pulse
Used post op to prevent pneumonia
What is incentive spirometer
Documenting information specific to one or more systems of the body
What is a focused assessment
Nurses use this to help with setting goals
What is SMART goals
Interpreting information, stating problems & strength
What is Diagnosis
Nurse does this once wound care procedure completed
What is document findings
The pulse site located behind the knee
What is popliteal pulse
Site to use when circulation is inadequate for pulse ox
What is earlobe, forehead, bridge of nose
Tool used to communicate with nurse verbally
What is ISBARR
Important information that goes in the center of the concept map
What is the medical diagnosis
Scale used to predict pressure ulcer
What is the Braden Scale
Last step in wound care before leaving patients room
What is place bed in low position, SR up x2 and call light within reach
Location of the apical pulse
What is on the left side of the chest at the 5th intercostal space
Correct way to put on PPE
What is gown,mask, goggles & glove
Electronic chart used for documentation
What is Docucare
A complete nursing problem includes these elements.
What is NANDA portion(Nsg. Problem), related to and as evidenced by.
Information collection or gathering data
What is Assessment
Once orders reviewed,supplies gathered, hands washed for wound care, the next step would be
What is assessing the patient's pain level
Pulse palpated when performing the blood pressure
What is the brachial pulse
The pulse oximeter does not detect this
What is an irregular pulse
Correct way to address errors in nursing note
What is draw a line through area, write the word error, initial with title
Included in a "risk for" nursing problem
What is what the problem is related to